RT Journal Article
SR Electronic
T1 Percutaneous endoscopic gastrostomy in children
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 205
OP 208
DO 10.15537/smj.2021.2.25692
VO 42
IS 2
A1 Faisal A. Alhaffaf
A1 Awad S. Alqahtani
A1 Abdulrahman A. Alrobyan
A1 Sarah N. Alqubaisi
A1 Bashar A. Ahmad
A1 Mohammad R. Almutairi
A1 Sami A. Wali
A1 Hamoud A. Alhebbi
YR 2021
UL http://smj.org.sa/content/42/2/205.abstract
AB Objectives: To evaluate the demographic data and complications in children who had undergone percutaneous endoscopic gastrostomy (PEG) over 9 years period.Methods: The demographic data, complications, length of hospital admission related to PEG insertion and follow-up findings of 39 patients who had undergone percutaneous endoscopic gastrostomy using the standard pull-through technique between 2011 and 2020 were examined. The study took place at the Gastroenterology Division, Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi ArabiaResults: The most common indications of feeding with a gastrostomy tube include neurological diseases (n=30, 76.9%), followed by metabolic disorders (n=3, 7.69%), chronic diarrhea (n=2, 5.1%), chronic kidney diseases (n=2, 5.1%), cystic fibrosis (n=1, 2.56%), feeding aversion fibrosis (n=1, 2.56%). Out of the 39 patients, 20 (51%) did not have any complications. However, minor complication are expected. Most common complications included local infection (n=14, 35.89%) followed by granulation tissue (n=6, 15.38%), “buried bumper syndrome” developed in one.Conclusion: Percutaneous endoscopic gastrostomy tube is the desirable method for patients who are unable to feed orally, feeding is not adequate for demands, has special feeding requirements, or swallowing dysfunction. The technique has become more widespread because of its simplicity, safety, and low cost. Major complications are rare. The procedure is safe and effective and could be carried out by pediatric gastroenterologists after training.